CARDIOVASCULAR CONSULTANTS OF IDAHO (NPI# 1730192329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730192329 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR CONSULTANTS OF IDAHO |
| Practice Address |
1070 N Curtis Rd Ste 125 Boise ID 83706-1238 |
| Practice Telephone | 2083771415 |
| Practice Fax Number | 2083753451 |
| Mailing Telephone | 2083771415 |
| Mailing Fax Number | 2083753451 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | STEVEN JOSEPH FONKEN (PRESIDENT) |
| Authorized Official Telephone | 2083771415 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1070 N CURTIS RD STE 125 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660628 | Todd Lindstrom | Hearing Instrument Specialist | 1070 N Curtis Rd, Suite 110, Boise, ID 83713 | 2017-10-16 |
| 1336333152 | Advantage Psychological Services, Pllc | Psychologist | 1070 N Curtis Rd, Suite 210, Boise, ID 83706-1238 | 2007-09-05 |
| 1619001005 | Allison Lee Etnyre | Psychologist | 1070 N Curtis Rd, Suite 210, Boise, ID 83706-1238 | 2007-03-15 |
| 1912054164 | Saint Alphonsus Physician Services Inc | Clinic/Center | 1070 N Curtis Rd, Suite 250, Boise, ID 83706-1238 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497807812 | Grande Ronde Hospital, Inc | Internal Medicine | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2007-01-17 |
| 1730285719 | Beth R Malasky | Internal Medicine | 6140 Curtisian, Ste 200, Boise, ID 83704-0107 | 2006-09-16 |
| 1841234747 | Samual Bass | Internal Medicine | 300 E Jefferson, Ste 101, Boise, ID 83712 | 2006-06-15 |
| 1407814411 | Frederick R. Badke | Internal Medicine | 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 | 2006-05-02 |
| 1447244819 | Eric B Stuart | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2005-08-31 |
| 1326045428 | Patrick Scott Coleman | Internal Medicine | 6140 W Curtisian Ave Ste 200, 6140 W Curtisian Ave Ste 200, Boise, ID 83704 | 2005-07-05 |
| 1114305091 | University of Utah Adult Services | Internal Medicine | 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 | 2015-05-12 |
| 1790162345 | University of Utah Adult Services | Internal Medicine | 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 | 2015-05-04 |
| 1093040479 | Saint Alphonsus Specialty Services Inc | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 | 2009-10-02 |
| 1972759124 | Michael Rich | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 | 2008-08-07 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.